摘要
目的探讨专科护士主导的家庭医生签约服务模式在社区糖尿病患者管理中的应用效果。方法2022年1月至2022年12月,选取江阴市某镇糖尿病健康管理档案中的192名糖尿病患者为此次研究对象,分为两组,各96例。为对照组提供签约服务的是传统家庭医生团队,为观察组提供签约服务的是由糖尿病专科护士主导的家庭医生团队。经过一年的签约服务,比较2组糖尿病患者的毛细血管血糖值、DSQL评分及对家庭医生签约服务的满意度。结果两组早餐后2小时血糖差异无统计学意义(P>0.05),空腹血糖、午餐后2小时血糖、晚餐后2小时血糖、随机血糖、DSQL评分、对家庭医生签约服务满意度两组差异均有统计学意义(P<0.01)。结论专科护士主导的家庭医生签约服务模式能有效帮助社区糖尿病患者控制血糖水平,提高其生活及生存质量,提高他们对家庭医生签约服务的满意度。
Objective To explore the application effect of diabetes specialist nurse-led family doctor contracting service model in the management of diabetic patients in the community.Methods From January 2022 to December 2022,192 diabetic patients in the diabetes health management file of a town in Jiangyin City were conveniently selected as the subjects of this study,and were divided into two groups of 96 cases each.The contracting service for the control group was provided by a traditional family doctor team,and the contracting service for the observation group was provided by a family doctor team led by a diabetes specialist nurse.After one year of contracted services,the capillary blood glucose values,DSQL scores(a specific quality of life scale for diabetes patients),and satisfaction with contracted services of diabetic patients in the 2 groups were compared.Results The difference in blood glucose 2h after breakfast was not statistically significant between the two groups(P>0.05),and the difference in fasting blood glucose,blood glucose 2h after lunch,blood glucose 2h after dinner,randomized blood glucose,DSQL scores,and satisfaction with contracted services between the two groups was statistically significant(P<0.01).Conclusion Diabetes specialist nurse-led family doctor contracting service model can effectively help community diabetic patients control their blood glucose level,improve their quality of life and survival,and increase their satisfaction with contracted services.
作者
何冰君
孔钟慧
周凌年
姚亚娟
夏苗
He Bingjun;Kong Zhonghui;Zhou Lingnian;Yao Yajuan;Xia Miao(Jiangyin Fifth People’s Hospital,Jiangyin,Jiangsu 214414,P.R.China)
出处
《科学咨询》
2024年第19期140-143,共4页
关键词
专科护士
家庭医生
签约服务
糖尿病
管理
Diabetes specialist nurses
Family physicians
Contracted services
Diabetes
Management
